are chronic disease self-management, particularly in DM, HTN, CHF and COPD. Duties and Responsibilities: Analyze clinical data.... Data interpretation and actionable reporting. Cross-functional collaboration and teamwork. Time management balancing...
Company : Highmark Inc. Job Description : JOB SUMMARY This is a full-time hybrid work from home and community... and communication with external contacts. Communicate effectively while interacting with Case Management Specialists, Management Team...
analysis of situations or data requires an in-depth evaluation of variable factors. Join a Team That’s Redefining Senior... and innovations in care delivery. Exercise independent clinical judgment in patient management. Required Qualifications MD...
, and documentation requirements. Responsible for the QA/PI activities. Work with Utilization Review staff relative to data tracking... for performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system...
relative to data tracking for performance review and outcomes of care analysis to determine efficiency, the efficacy of case... management system and any other systems and process. Competently perform patient care assignments and staff management activities...
available data and chart reviews. Help coordinate patient services, including specialty referrals, hospital and SNF coordination.... Follow policy and protocol defined by Clinical Leadership. Meet with RMD about quality of care, review of outcome data...
, staff management, documentation quality, and regulatory compliance, working onsite in-office. Review referrals, determine... management quality and outcomes. Participate in hiring, training, performance evaluation, coaching, and corrective action...
and quality for patients and monitors care using available data and chart reviews. · Assists in the coordination of patient... with RMD about quality of care, review of outcome data, policy, procedure and records issues. · Participates in potential...
development & patient base growth, achievement of key performance indicators, and people management/development. The Branch... company policies. Conducts continuous quality improvement quarterly committee meetings, reviews all patient satisfaction data...
analysis of situations or data requires an in-depth evaluation of variable factors. Total Compensation Package (base pay... of medical care and quality for patients and monitors care using available data and chart reviews. · Assists in the...